| NPI | 1154706679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 279359) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 79350) |
| Enumeration Date | 2015-07-26 |
| Last Update Date | 2015-07-26 |